Individual
BRIAN DEWAYNE LIGHTSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
104 BOSTON POST RD, SUITE #3, WESTON, MA 02493
(508) 561-1762
Mailing address
10 VILLAGE BROOK LANE, NATICK, MA 01760
(508) 561-1762
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
113053
MA
1041C0700X
Clinical Social Worker
7779
FL
Other
Enumeration date
10/02/2006
Last updated
07/08/2007
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